Active NPI
Johnnie Maurice Woodson III
- Physical Medicine & Rehabilitation Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 76669
- Practice address
- 775 E Willetta St
Phoenix, AZ 85006-2723 - Phone
- (480) 581-3900
- NPI assigned
- Apr 7, 2021
- Last updated
- Nov 26, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NM | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | RS2021-0402 | NM | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 76669 | AZ | Primary |
Addresses
Primary practice location
775 E Willetta St
Phoenix, AZ 85006-2723
Mailing address
1776 Woodstead CT Ste 208
The Woodlands, TX 77380-1480
Phone (877) 749-7428
Other practice location 1
1 University Of New Mexico Msc10 5550
Albuquerque, NM 87131-0001
Phone (505) 272-6331
Other practice location 2
1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 238055 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- BHSM Rehabilitation LLC
Practice addresses (Care Compare)
2225 W Southern Ave
Suite a
Mesa, AZ 85202-4716
Phone (623) 888-3502
775 E Willetta St
Phoenix, AZ 85006-2723
Phone (877) 749-7428
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RS2021-0402 | NM | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Post-Acute Physicians of Arizona PLLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| BHSM Rehabilitation, LLC | Past | Accepting new patients |
Locations
1515 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 389-9529
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
4202 N 20th Ave
Phoenix, AZ 85015
Phone (602) 264-3824
775 E Willetta St
Phoenix, AZ 85006
Phone (480) 581-3900
9494 E Becker Ln
Scottsdale, AZ 85260
Phone (480) 331-7702
1776 Woodstead Ct
Ste 208
The Woodlands, TX 77380
Phone (281) 724-3100
Interoperability endpoints
- jwoodson702135@ahs.direct-ci.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Medicine & Rehabilitation Physician
- Surprise, AZ
- NPI 1205267119
-
- Rehabilitation Hospital
- Phoenix, AZ
- NPI 1851921571
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Phoenix, AZ
- NPI 1851921571
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764115200000",
"number": "1750960449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1776 WOODSTEAD CT STE 208",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773801480",
"telephone_number": "877-749-7428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 E WILLETTA ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062723",
"telephone_number": "480-581-3900"
}
],
"practiceLocations": [
{
"address_1": "1 University Of New Mexico Msc10 5550",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871310001",
"country_code": "US",
"telephone_number": "505-272-6331",
"fax_number": "505-272-0475",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1111 E McDowell Rd",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850062612",
"country_code": "US",
"telephone_number": "602-839-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOODSON",
"first_name": "JOHNNIE",
"middle_name": "MAURICE",
"name_suffix": "III",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-07",
"last_updated": "2025-11-26",
"certification_date": "2025-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NM",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NM",
"license": "RS2021-0402",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "AZ",
"license": "76669",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "238055",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.